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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
Submit a review for Dr. Vijay Kumar MalhotraYour feedback matters!
I need some information about my baby she's 17 days old in head water no noise upper lip cut I am submitting her reports CT scan ultrasound.
Can I give banana to my 7 month old baby. When he is suffering frm asthma. And what else can I give him to feed.in this situation. ANd what I shud not give pls help.
I have twin - daughter & son - birth date: 02.05. 2015. But, regarding my son, he has some constipation problem. Toileting on every 2 to 3 days on using soap method. His toilet colour also green with little signing and also, little toilet amount. How he will get normal yellow colour? he is taking breast feeding & pro nan 1 milk food. Whether cow milk will change his constipation to normal?
Yesterday I came to know my 7 month old baby is suffering from asthma.in that case please help me what precautions shud I take for him. Shud I give him oil massage and bath.in food any precaution shud I take. He is still on breast feeding too.
My son is suffering from loose motion. 6to 8 times, also fever comes. We r giving paracetamol and norfloxin. Even though the loose motion is there. My son is 10 month pls suggest..
How will I come to know whether my two months old daughter had her stomach full just after feeding. As she use to cry even after feeding. Please tell me what to do if the milk is not enough for her.
I have problem in concentration while reading and Listening. Also at work I forget many things, of course I have to multitask in office but like others I too don't want to forget things. Regarding this office work actually I am not happy doing job here and I want to leave this, I am frustrated here So, that may be a case I am not remembering little things . But the concentration problem is there with me, and I have searched on net regarding this there is something called ADHD. Please tell me what problem I have and how to deal with it? Thanks
My son is six month old. Which type of food I should give to him. He is also on formula milk lactogen since 3 month old.
My son 1.5 years young is getting infected to cold and cough now and then. One of our child specialist asked for a chest scan and later confirmed it as wheezing. Is it dangerous in kids. Please provide me your valuable solutions.
Hello doc, Is 3+ month old baby will suffer with chickenpox rash? My baby is having rashes on face and body and suffering from fever cough & cold. please suggest.
Hi my son is 1 year 9 months old he's having difficulty in passing motion the motion is hard he cries a lot when in diaper he stands and does motion which is hard and with difficulty two day's back he had developed a boil over we consulted a pediatric he gave acculav D's 4 ml thrice when asked about motion he said he will get loose motion after 1 day he did motion with difficulty I am worried we give him everything what to include to in food to make his motion soft pls tel me.
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.